North Dakota Authorization to Receive a Certified Copy (SFN 58698)
Official state formOther requestsForm SFN 58698Free downloadLast verified November 10, 2026
Notarized one-time authorization that lets another person request a birth, death or fetal death record for the person authorizing. It goes with the signed request form to Vital Records.
Who can use this form
- A person entitled to the record, authorizing a designee
- A parent entitled to the record, authorizing a designee
- The authorization is one-time and must be notarized
What to send with it
- The authorization, notarized
- A fully completed birth, death or fetal death request form, signed by the designee
- A clear copy of the designee's current government-issued photo ID
Where to send it
- Mail to
- Vital Records 600 E. Boulevard Ave., Dept. 325 Bismarck, ND 58505-0250
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 07-2019
- Source
- Official government page